BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AESCULAP

    MDR report key: 17806821 · Received September 25, 2023

    Report

    Report Number
    17806821
    Event Type
    Malfunction
    Date Received
    September 25, 2023
    Date of Event
    June 6, 2023
    Report Date
    June 26, 2023
    Manufacturer
    AESCULAP AG
    Product Code
    HRQ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    VA
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    TIP OF CLAMP BROKE OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1881152 AESCULAP HEMOSTAT HRQ AESCULAP AG BH135R

    Patients

    Seq Age Sex Outcome Treatment
    1 26645 DA Female